Kroger Specialty Pharmacy, Inc.
Pharmacy
1821 Kaiser Ave, Irvine
California, 92614-5707
855-733-3126 888-315-3270
Kroger Specialty Pharmacy, Inc. is a Pharmacy in Irvine, California. It is located at 1821 Kaiser Ave, Irvine and it's customer support contact number is 855-733-3126. The authorized person of Kroger Specialty Pharmacy, Inc. is Debra J Cole who is Vice President of the pharmacy and his contact number is 855-733-3126. Kroger Specialty Pharmacy, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kroger Specialty Pharmacy, Inc. is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Kroger Specialty Pharmacy, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kroger Specialty Pharmacy, Inc. |
| Type: | Pharmacy |
| Location: | 1821 Kaiser Ave, Irvine,
California, 92614-5707 |
| Phone: | 855-733-3126 |
| Fax: | 888-315-3270 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Debra J Cole |
| Position: | Vice President |
| Contact Number: | 855-733-3126 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1184649782 |
| NPI Enumeration Date: | 13 Jul, 2006 |
| NPI Last Update On: | 08 May, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kroger Specialty Pharmacy, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Specialty Pharmacy | PHY51548 | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 60000708 | Medicaid | New Mexico | |
| 140622100 | Medicaid | Wyoming | |
| 1184649782 | Medicaid | California | |
| 1626534 | Medicaid | Alaska | |
| 94789061 | Medicaid | Colorado | |
| 092265 | Medicaid | Arizona | |
| 2043938 | Medicaid | Washington | |
| 7176839 | Medicaid | Montana | |
| 1184649782 | Medicaid | Utah | |
| 1184649782 | Medicaid | Idaho | |
Medicare Enrollment:
Kroger Specialty Pharmacy, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3476664434 | O20141113000251 | Kroger Specialty Pharmacy Inc | DME SUPPLIER - PHARMACY |
Products Available:
Kroger Specialty Pharmacy, Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Infusion Pumps & Supplies: External Infusion | • Infusion Pumps & Supplies: Insulin Infusion |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1821 Kaiser Ave,
Irvine, California |
| Zip: | 92614-5707 |
| Phone Number: | 855-733-3126 |
| Fax Number: | 888-315-3270 |
Patients can reach Kroger Specialty Pharmacy, Inc. at
1821 Kaiser Ave, Irvine, California or can
call on customer care at 855-733-3126.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.